Family Medicine Clinic Of Yankton Professional Llc

NPI 1811088727 - Family Medicine - 207Q00000X

NPI Details
NPI 1811088727
Enumeration Date 09/27/2006
Last Updated 04/05/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLY R KELLY
Position SOLE MEMBER
Phone (605) 665-0555
Fax (605) 665-4498
Practice Location
1000 WEST 4TH STREET
SUITE 15 FAMILY MEDICINE CLINIC OF YANKTON PROF LLC
YANKTON SD, 57078, US
Phone (605) 665-0555
Fax (605) 665-4498
Business Location
1000 WEST 4TH STREET
SUITE 15 FAMILY MEDICINE CLINIC OF YANKTON PROF LLC
YANKTON SD, 57078, US
Phone (605) 665-0555
Fax (605) 665-4498
Toxanomy
Taxonomy Code 207Q00000X
License State South Dakota
License Number 4270
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According to our database, Family Medicine Clinic Of Yankton Professional Llc NPI is 1811088727, taxonomy code is 207Q00000X and license number is 4270, license state is located at South Dakota. Family Medicine Clinic Of Yankton Professional Llc physically located at 1000 West 4th Street, Yankton SD, 57078. NPI Number 1033115704 has the healthcare provider type.

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1811088727 NPI number is provided on an as is basis without warranty of any kind. 1811088727 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine Clinic Of Yankton Professional Llc are for informational purposes only.